<s>
Internet-based	B-Application
treatments	I-Application
for	I-Application
trauma	I-Application
survivors	I-Application
is	O
a	O
growing	O
class	O
of	O
online	O
treatments	O
that	O
allow	O
for	O
an	O
individual	O
who	O
has	O
experienced	O
trauma	O
to	O
seek	O
and	O
receive	O
treatment	O
without	O
needing	O
to	O
attend	O
psychotherapy	O
in	O
person	O
.	O
</s>
<s>
Telepsychiatry	B-Application
in	O
the	O
form	O
of	O
teleconferencing	O
dates	O
back	O
to	O
1959	O
,	O
when	O
it	O
was	O
used	O
for	O
research	O
and	O
consultation	O
at	O
the	O
University	O
of	O
Nebraska	O
.	O
</s>
<s>
With	O
the	O
development	O
of	O
larger	O
systems	O
of	O
operation	O
,	O
such	O
as	O
universities	O
and	O
federal	O
health	O
systems	O
,	O
telemental	B-Application
health	I-Application
services	O
began	O
seeing	O
an	O
uptake	O
in	O
research	O
and	O
randomized	O
control	O
trials	O
in	O
the	O
1990s	O
.	O
</s>
<s>
Despite	O
early	O
research	O
and	O
success	O
in	O
using	O
telemental	B-Application
health	I-Application
in	O
the	O
treatment	O
of	O
disorders	O
such	O
as	O
anxiety	O
and	O
behavioral	O
problems	O
,	O
more	O
recently	O
,	O
tailoring	O
treatment	O
for	O
trauma	O
survivors	O
to	O
an	O
internet-based	O
format	O
has	O
been	O
gaining	O
momentum	O
.	O
</s>
<s>
Healthcare	O
providers	O
who	O
have	O
mental	O
health	O
services	O
mostly	O
have	O
online	O
psychotherapy	O
options	O
available	O
,	O
especially	O
as	O
a	O
result	O
of	O
the	O
shift	O
to	O
telemental	B-Application
health	I-Application
in	O
the	O
wake	O
of	O
COVID-19	O
.	O
</s>
<s>
Children	O
in	O
abusive	O
households	O
could	O
have	O
trouble	O
benefiting	O
from	O
telemental	B-Application
health	I-Application
options	O
in	O
that	O
they	O
may	O
not	O
have	O
the	O
ability	O
to	O
recognize	O
dissociative	O
symptoms	O
,	O
may	O
not	O
have	O
a	O
private	O
space	O
,	O
may	O
not	O
be	O
able	O
to	O
process	O
their	O
trauma	O
when	O
they	O
are	O
not	O
in	O
a	O
safe	O
space	O
,	O
and	O
may	O
not	O
be	O
able	O
to	O
pay	O
attention	O
due	O
to	O
emotion	O
regulation	O
problems	O
.	O
</s>
